Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

APPALACHIAN HEALTH CARE INC

NPI: 1316305253 · HAZARD, KY 41701 · Family Nurse Practitioner · NPI assigned 02/07/2016

$661K
Total Medicaid Paid
25,693
Total Claims
20,225
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILLIAMS, CYNTHEA (OWNER)
NPI Enumeration Date02/07/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,227 $107K
2019 3,663 $91K
2020 2,986 $93K
2021 3,487 $87K
2022 3,090 $86K
2023 4,369 $105K
2024 3,871 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,784 15,081 $580K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,695 2,428 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 264 242 $14K
90460 Immunization administration through 18 years of age via any route, first or only component 405 366 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 447 295 $6K
90837 Psychotherapy, 53 minutes with patient 86 52 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 97 87 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 337 262 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 116 95 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 31 29 $2K
90461 69 61 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 108 95 $1K
36415 Collection of venous blood by venipuncture 759 676 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 93 73 $799.80
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 25 24 $320.50
80305 49 48 $259.74
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 12 12 $102.84
90633 265 251 $66.36
G0444 Annual depression screening, 5 to 15 minutes 14 14 $0.00
90715 15 14 $0.00
90734 22 20 $0.00